Objective:Postpartum weight retention(PPWR)is a common problem among women after childbirth.The main objectives of this study are to understand the changes in body weight of breastfeeding mothers during long-term foll...Objective:Postpartum weight retention(PPWR)is a common problem among women after childbirth.The main objectives of this study are to understand the changes in body weight of breastfeeding mothers during long-term follow-up and preliminarily explore the relationship between maternal body weight and human milk composition,including macronutrients,leptin,and adiponectin.Methods:The study included a longitudinal cohort(122 mothers),and a cross-sectional cohort(37 mothers).The human milk,maternal weight,and dietary surveys were collected in the longitudinal cohort at different follow-up time points(1-14 days postpartum,2-4 months postpartum,5-7 months postpartum,and 12-17 months postpartum).The maternal body weight was analyzed using the responses in the survey questionnaires.A milk analyzer based on the mid-infrared spectroscopy(MIRS)was used to determine milk composition,and nutrition analysis software evaluated dietary intakes.In the cross-sectional cohort,participating mothers were asked to provide blood and human milk samples and pertinent information related to maternal body composition.Maternal body composition was measured by bioelectrical impedance analysis(BIA),while ELISA analyzed leptin and adiponectin in milk and serum.Results:At 5-7 months postpartum,the PPWR of breastfeeding mothers was(2.46±3.59)kg.At 12-17 months postpartum,the PPWR was(0.98±4.06)kg.PPWR was found to be negatively correlated with milk fat content within 14 days postpartum and positively correlated at 2-4 months postpartum.In addition,the maternal weight and body muscle mass were positively correlated with leptin and adiponectin in milk.Plasma leptin was positively correlated with the mother’s body weight,body mass index(BMI),FAT percentage,and body fat mass,while plasma adiponectin did not correlate with any parameter.The results also indicate that the PPWR did not correlate with leptin and adiponectin in plasma or milk.Conclusions:Breastfeeding mothers may retain considerable weight gain one year after delivery.Human milk composition may be related to changes in maternal body weight.Leptin and adiponectin in breast milk and leptin in plasma are associated with the maternal body composition.This study supports the notion that maternal nutritional status may affect offspring health through lactation,and future research should focus on exploring weight management of postpartum mothers.展开更多
目的探讨孕晚期女性心理及社会支持状况对产后6个月体质量滞留的影响。方法采用便利抽样法,选择2015年9-10月在南昌大学第一附属医院妇产科接受产检的165名孕晚期(孕34~35周)女性为研究对象。采用自行编制的一般资料调查表、焦虑自评量...目的探讨孕晚期女性心理及社会支持状况对产后6个月体质量滞留的影响。方法采用便利抽样法,选择2015年9-10月在南昌大学第一附属医院妇产科接受产检的165名孕晚期(孕34~35周)女性为研究对象。采用自行编制的一般资料调查表、焦虑自评量表(self-rating anxiety scale,SAS)、爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)、领悟社会支持量表(perceived social support scale,PSSS)等,对孕晚期女性进行问卷调查,并于产后6个月随访,进一步调查体质量情况。结果产妇产后6个月平均体质量滞留为(5.69±2.64)kg,孕前体质质量指数、孕期增重、孕晚期焦虑、抑郁及家庭支持状况是其产后6个月体质量滞留的影响因素。结论为了预防产后体质量滞留,降低女性超重和肥胖发生率,除了产前体质量管理外,孕期女性心理状态和所获得的社会支持状况也应得到医护人员及家属的足够重视,并根据孕妇不同心理状态给予有针对性的预防和护理,以提高女性孕期和产后健康水平。展开更多
目的:采用Meta分析产妇产后体重滞留的影响因素。方法:计算机检索中国知网、万方、维普、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library、Web of Science,检索自建库至2021年8月12日关于产妇产后体重滞留危险因素的...目的:采用Meta分析产妇产后体重滞留的影响因素。方法:计算机检索中国知网、万方、维普、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library、Web of Science,检索自建库至2021年8月12日关于产妇产后体重滞留危险因素的文献。采用不同文献质量评价工具,对文献进行评价,由2名研究者进行文献筛选和资料提取,采用RevMan 5.3软件进行Meta分析。结果:共纳入19篇文献,累计产妇145976例。Meta分析结果显示,年龄(OR=1.04,95%CI:1.01~1.08)、文化程度(OR=2.07,95%CI:1.46~2.92)、孕前BMI(OR=4.84,95%CI:1.06~1.12)、孕期增重(OR=1.73,95%CI:1.44~2.07)、饮食(OR=1.76,95%CI:0.67~0.94)是产后体重滞留的危险因素,而喂养方式(OR=0.50,95%CI:0.39~0.65)、产后体力活动(OR=0.59,95%CI:0.46~0.75)、收入(OR=0.79,95%CI:0.67~0.94)是产后体重滞留的保护因素。结论:产后体重滞留的发生与年龄、文化程度、孕前BMI、孕期增重、饮食有关。展开更多
目的分析营养干预对妊娠期糖尿病(GDM)孕妇糖代谢、母婴结局及产后体重滞留的影响。方法选择2018年4月至2019年4月我院收治的150例GDM孕妇作为研究对象,将其随机分为对照组(75例,常规门诊检查+健康教育)和研究组(75例,常规门诊检查+健...目的分析营养干预对妊娠期糖尿病(GDM)孕妇糖代谢、母婴结局及产后体重滞留的影响。方法选择2018年4月至2019年4月我院收治的150例GDM孕妇作为研究对象,将其随机分为对照组(75例,常规门诊检查+健康教育)和研究组(75例,常规门诊检查+健康教育+营养干预)。比较两组的膳食质量、血糖及胰岛素状态、妊娠期相关并发症、母婴结局、产后体重滞留情况。结果干预3个月后,研究组的LBS、HBS、DQD评分均明显低于对照组,差异具有统计学意义(P<0.05)。干预3个月后,研究组的FBG、2 h PG水平和HOMA-IR明显低于对照组,HOMA-β明显高于对照组,差异具有统计学意义(P<0.05)。研究组的妊娠期相关并发症发生率均明显低于对照组,母婴结局明显优于对照组,差异具有统计学意义(P<0.05)。产后42 d及6、12个月,研究组的体重滞留量均明显低于对照组,差异具有统计学意义(P<0.05)。结论营养干预能够显著提高孕妇的膳食质量,降低血糖及胰岛素抵抗,改善母婴结局,减少孕妇产后体重滞留。展开更多
基金supported by grants from the Shanghai Key Laboratory of Pediatric Gastroenterology and Nutrition(17dz2272000)Foundation of Shanghai Municipal Health Commission(Key weak discipline construction project 2019ZB0101)the Scientific research fund of China Nutrition Society(CNSHPNK2021-16)。
文摘Objective:Postpartum weight retention(PPWR)is a common problem among women after childbirth.The main objectives of this study are to understand the changes in body weight of breastfeeding mothers during long-term follow-up and preliminarily explore the relationship between maternal body weight and human milk composition,including macronutrients,leptin,and adiponectin.Methods:The study included a longitudinal cohort(122 mothers),and a cross-sectional cohort(37 mothers).The human milk,maternal weight,and dietary surveys were collected in the longitudinal cohort at different follow-up time points(1-14 days postpartum,2-4 months postpartum,5-7 months postpartum,and 12-17 months postpartum).The maternal body weight was analyzed using the responses in the survey questionnaires.A milk analyzer based on the mid-infrared spectroscopy(MIRS)was used to determine milk composition,and nutrition analysis software evaluated dietary intakes.In the cross-sectional cohort,participating mothers were asked to provide blood and human milk samples and pertinent information related to maternal body composition.Maternal body composition was measured by bioelectrical impedance analysis(BIA),while ELISA analyzed leptin and adiponectin in milk and serum.Results:At 5-7 months postpartum,the PPWR of breastfeeding mothers was(2.46±3.59)kg.At 12-17 months postpartum,the PPWR was(0.98±4.06)kg.PPWR was found to be negatively correlated with milk fat content within 14 days postpartum and positively correlated at 2-4 months postpartum.In addition,the maternal weight and body muscle mass were positively correlated with leptin and adiponectin in milk.Plasma leptin was positively correlated with the mother’s body weight,body mass index(BMI),FAT percentage,and body fat mass,while plasma adiponectin did not correlate with any parameter.The results also indicate that the PPWR did not correlate with leptin and adiponectin in plasma or milk.Conclusions:Breastfeeding mothers may retain considerable weight gain one year after delivery.Human milk composition may be related to changes in maternal body weight.Leptin and adiponectin in breast milk and leptin in plasma are associated with the maternal body composition.This study supports the notion that maternal nutritional status may affect offspring health through lactation,and future research should focus on exploring weight management of postpartum mothers.
文摘目的探讨孕晚期女性心理及社会支持状况对产后6个月体质量滞留的影响。方法采用便利抽样法,选择2015年9-10月在南昌大学第一附属医院妇产科接受产检的165名孕晚期(孕34~35周)女性为研究对象。采用自行编制的一般资料调查表、焦虑自评量表(self-rating anxiety scale,SAS)、爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)、领悟社会支持量表(perceived social support scale,PSSS)等,对孕晚期女性进行问卷调查,并于产后6个月随访,进一步调查体质量情况。结果产妇产后6个月平均体质量滞留为(5.69±2.64)kg,孕前体质质量指数、孕期增重、孕晚期焦虑、抑郁及家庭支持状况是其产后6个月体质量滞留的影响因素。结论为了预防产后体质量滞留,降低女性超重和肥胖发生率,除了产前体质量管理外,孕期女性心理状态和所获得的社会支持状况也应得到医护人员及家属的足够重视,并根据孕妇不同心理状态给予有针对性的预防和护理,以提高女性孕期和产后健康水平。
文摘目的:采用Meta分析产妇产后体重滞留的影响因素。方法:计算机检索中国知网、万方、维普、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library、Web of Science,检索自建库至2021年8月12日关于产妇产后体重滞留危险因素的文献。采用不同文献质量评价工具,对文献进行评价,由2名研究者进行文献筛选和资料提取,采用RevMan 5.3软件进行Meta分析。结果:共纳入19篇文献,累计产妇145976例。Meta分析结果显示,年龄(OR=1.04,95%CI:1.01~1.08)、文化程度(OR=2.07,95%CI:1.46~2.92)、孕前BMI(OR=4.84,95%CI:1.06~1.12)、孕期增重(OR=1.73,95%CI:1.44~2.07)、饮食(OR=1.76,95%CI:0.67~0.94)是产后体重滞留的危险因素,而喂养方式(OR=0.50,95%CI:0.39~0.65)、产后体力活动(OR=0.59,95%CI:0.46~0.75)、收入(OR=0.79,95%CI:0.67~0.94)是产后体重滞留的保护因素。结论:产后体重滞留的发生与年龄、文化程度、孕前BMI、孕期增重、饮食有关。
文摘目的分析营养干预对妊娠期糖尿病(GDM)孕妇糖代谢、母婴结局及产后体重滞留的影响。方法选择2018年4月至2019年4月我院收治的150例GDM孕妇作为研究对象,将其随机分为对照组(75例,常规门诊检查+健康教育)和研究组(75例,常规门诊检查+健康教育+营养干预)。比较两组的膳食质量、血糖及胰岛素状态、妊娠期相关并发症、母婴结局、产后体重滞留情况。结果干预3个月后,研究组的LBS、HBS、DQD评分均明显低于对照组,差异具有统计学意义(P<0.05)。干预3个月后,研究组的FBG、2 h PG水平和HOMA-IR明显低于对照组,HOMA-β明显高于对照组,差异具有统计学意义(P<0.05)。研究组的妊娠期相关并发症发生率均明显低于对照组,母婴结局明显优于对照组,差异具有统计学意义(P<0.05)。产后42 d及6、12个月,研究组的体重滞留量均明显低于对照组,差异具有统计学意义(P<0.05)。结论营养干预能够显著提高孕妇的膳食质量,降低血糖及胰岛素抵抗,改善母婴结局,减少孕妇产后体重滞留。
